Annals of Family Medicine: COVID-19

"What we need in a pandemic is not social distancing, but physical distancing with social connectedness." 

– Kurt C. Stange et al, Physical Distancing With Social Connectedness

The Annals of Family Medicine has created a rapidly updating page with of COVID-19-related content relevant to primary care. For push notifications when new content is added to this collection, please follow this collection, @annfammed on Twitter and subscribe to COVID-19 email updates.

Links to new open-access, pre-print, pre-peer review COVID-19 articles will be added to the page as they are vetted by our Associate Editors and Editorial Team. If you would like to submit original content, please see our COVID-19 Collection Call for Papers. The Collection on ScienceOpen contains finally published articles with a DOI.

COVID-19 Articles from Annals of Family Medicine

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ESSAYS

Physical Distancing With Social Connectedness

David Bergman, MD, Christina Bethell, PhD, MPH, MBA, Narangerel Gombojav, MD, MSc, PhD, Sandra Hassink, MD, FAAP, and Kurt C. Stange, MD, PhD

Recognizing and supporting the many ways of investing in relationship has great potential to create a positive sea change in a health care system that currently feels fragmented and depersonalized to both patients and health care providers. The current COVID-19 pandemic is full of opportunity to use remote communication to develop healing human relationships.

Accepted 24 March 2020; In-Press, DOI: 10.1370/afm.2538.

Applying Evidence-Based Medicine Concepts for Dealing with a Pandemic

Allen F. Shaughnessy, PharmD, MMedEd, and Andrea E. Gordon, MD

Given the lack of evidence to support our approach to the COVID pandemic, how should we think about it from an evidence-based medicine point of view? Here are ten points to consider when making decisions.

30 March 2020. Nonrefereed, online collection only. Permanent URL: http://hdl.handle.net/2027.42/154603

The COVID-19 Pandemic: The Urgency of Discussing Goals of Care in Patients with Advanced Illness
Amy Case MD, FAAHPM

As the COVID-19 pandemic unfolds in real time before us, the author has witnessed an increase in the emphasis physicians are placing on timely advance care planning and goals of care discussions, especially for patients with advanced cancer, frailty, or advanced illness. This paper describes the need for goals of care discussions at this critical time, as well as potential barriers to doing so, and lists several excellent resources to help clinicians discuss important topics with COVID-19 patients.

31 March 2020. Nonrefereed, online collection only. Permanent URL: http://hdl.handle.net/2027.42/154604

The Five Phases of Pandemic Care for Primary Care​

Alex H Krist, MD, MPH; Jennifer E. DeVoe, MD, DPhil; Anthony Cheng, MD, Thomas Ehrlich, MD

During a pandemic, many more patients are likely to have symptoms and many more of those symptomatic patients will seek care. Nearly all will need primary care, and primary care will need to be there to help them. The authors provide a framework in five waves of needed primary care to address the current COVID-19 pandemic.

6 April 2020. Nonrefereed, online collection only. Permanent URL: http://hdl.handle.net/2027.42/154687

SPECIAL REPORT

COVID-19: Notes from the Frontline, Singapore’s Primary Healthcare Perspective

Wei Han Lim, MBBS, and Wei Mon Wong, MBBS, FCFP, Division of Primary Care, Raffles Medical Group, Singapore

Singapore is known to have promptly instituted aggressive public health and containment measures in response to the COVID-19 crisis. The authors describe their framework for how their primary care clinics are responding to this pandemic in the hope that others may find solutions to their unique needs. ­­

Accepted 26 March 2020; In-Press; DOI: 10.1370/afm 2539.

Family Medicine COVID-19 Front Lines Blog

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Introducing our new blog for family medicine case notes from the COVID-19 front lines. This is a non-refereed extension of the COVID-19 online collection. Submit your case notes and on-the-ground primary care experiences to our covidcasenotes@umich.edu team.